| NPI | 1851526511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R. NOBACK Member 941-360-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |